Blanke, Jessica D
Blanke, Jessica D is an individual health care provider with primary practice located at 7827 Highway N Ste 104 , O Fallon MO 63368-6704. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Blanke, Jessica D can be contacted via phone (636) 377-1177.Contact Information
Primary practice address
7827 Highway N Ste 104
O Fallon MO 63368-6704
Phone: (636) 377-1177
Fax: (636) 377-1911
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 168548 | Missouri |
Profile Details
| NPI number | 1235687757 |
|---|---|
| LBN Legal business name | Blanke, Jessica D |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 13th, 2016 |
| Last updated | Sep 14th, 2016 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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